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Apply to be Teen of the Month!

A Teen of the Month is someone who stands out in their Teens in the Driver Seat® group. Do you motivate your friends, family and classmates? Do you spread the safe teen driving message whenever and however possible? Sounds like you have what it takes to be a Teen of the Month!

To be considered as a Teen of the Month, you must:

Be a junior high or high school student at a program school (currently have a TDS team),

Be involved in a Teens in the Driver Seat® program, and

We must have a signed video/photo release form on record (and if you’re under 18, have your parent sign it). You can fax this to 210-979-9694 or email a good picture (with your phone) or scan.

Submit your application to be the Teens in the Driver Seat® Teen of the Month. Just fill out the stuff below and submit it.
We’ll let you know when you’re famous. Good luck!

Name*

FirstLast

School Name*

City and State of your school*

Email*

Would you like to receive our emails?*

Yes

No

We never sell our lists. Emails are sent once a month, on average. You may unsubscribe at any time.

We never sell our lists. Phone format: (###)###-####. You may unsubscribe at any time.

Age*

Upload your picture*

Accepted file types: jpg, gif, png.

Or email it to [email protected] with your name and notation of Teen of the Month. **Your photo must be large enough to format for the website.**

Please answer at least 3 questions below.

If your life had a soundtrack, what songs would be on it?

In five words or less, describe yourself.

Who is your favorite celebrity?

Who do you look up to?

What are your hobbies?

Where do you see yourself in five years?

If you could meet five famous people, who would they be and why?

What do you want to be when you are older?

If you could do anything in the world or go anywhere, what/where would it be?

Please answer both questions below.

If you could change one thing about the way your friends drive or ride in the car, what would it be?*

Why are you involved in Teens in the Driver Seat®?*

Agree to the terms.

I grant permission to the Teens in the Driver Seat® program and the Texas A&M Transportation Institute (collectively "TTI") to take and use visual/audio images of me as part of ongoing communications efforts to advance the Teens in the Driver Seat® program, a program designed to reduce the frequency of vehicle crashes involving teenage drivers. "Visual/audio images" includes any type of recording whatsoever including but not limited to photographs, digital images, drawings, renderings, voices, sound or video recordings, audio clips or accompanying written descriptions. I agree that TTI owns the images and all the rights related to them.

I understand that the images may be used in video and audio productions, public service announcements, on the Teens in the Driver Seat® program web site, and any other uses deemed appropriate by TTI, without compensation or notification. I waive any right to inspect or approve the finished images or any printed or electronic matter that may be used with them.

I release and hold harmless TTI, its employees and agents, from any claim, damages, or liability for any violation of any personal or proprietary right I may have in connection with such recording or use. I freely and voluntarily consent to the use and publication of the images by TTI from this date forward until I revoke this consent in writing.

Confirm your agreement.*

I agree to the terms above, and I am 18 years of age or older.

I agree to the terms above, and I am under the age of 18. See note below.

If you are under 18 please make complete the parental release form on the next page. Application will not be considered without the release form. If we have one on file, you're good to go.